HAROLD MCCLELLAN (LCSW) – Clinical Social Worker, NPI 1386154490

HAROLD MCCLELLAN (LCSW) is a healthcare provider. based in Saint joseph, Missouri. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LCSW. They hold a License No. 2016035907 (MO). The NPI Number for HAROLD MCCLELLAN (LCSW) is 1386154490

Main info

Male
Sole Proprietor
16 Years Of Experience
Accepts Medicare Assignment
Name
HAROLD MCCLELLAN (LCSW)
NPI
1386154490
Phone
Not provided
Address
1322 N 36TH ST
Enumeration Date
3 October 2017
Last Update Date
3 October 2017

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8166223171
Graduation Year
2010 (16 years ago)
PAC ID
2062740269
Group Practice PAC ID
1254565054
Professional Enrollment ID
I20190827000547
Address ID
MO640578317IN4200XPKWY401
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:8State licenses:1Digital endpointsOther names

1,245 CLINICAL SOCIAL WORKER in MO

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Provider Addresses for HAROLD MCCLELLAN (LCSW)

  • 1322, North 36th Street, St. Joseph, Buchanan County, Missouri, 64506, United States

    SAINT JOSEPH, MO 645062365

    Phone:

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2019-08-27

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20190827000547IClinical Social WorkerMOTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
90837Psychotherapy, 1 hour40935$0
View full utilization report →

Insurance plans in this area (ZIP 64506)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1254565054View full group profile
NameSpecialtyState
Clinical Social WorkerMO
Mental Health CounselorMO
Clinical PsychologistMO
Mental Health CounselorMO

Reviews

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Frequently asked questions

Can I cross-check HAROLD MCCLELLAN (LCSW) using NPI 1386154490?
NPI 1386154490 belongs to HAROLD MCCLELLAN (LCSW); compare other details if you need extra assurance.
Is there an active status for HAROLD MCCLELLAN (LCSW)?
For scheduling context, HAROLD MCCLELLAN (LCSW) is shown as active in the registry.
What kind of doctor is HAROLD MCCLELLAN (LCSW)?
HAROLD MCCLELLAN (LCSW) is associated with Clinical Social Worker in the directory — Clinical services aligned with this taxonomy classification.
What locale is associated with HAROLD MCCLELLAN (LCSW)?
Directory geography for HAROLD MCCLELLAN (LCSW) centers on Saint Joseph, Missouri.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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